基于自我超越理论的全程综合护理对甲状腺癌患者自护能力、心理韧性、癌因性疲乏的影响  

Effects of comprehensive nursing based on self-transcendence theory on self-care ability,mental toughness and cancer-related fatigue in patients with thyroid cancer

作　　者：高学云[1] 王万霞[1] 姚廷敬[1] 郭燕[1] 张倩[1] GAO Xue-yun;WANG Wan-xia;YAO Ting-jing;GUO Yan;ZHANG Qian(Department of Thyroid and Breast Surgery,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China)

机构地区：[1]蚌埠医学院第一附属医院甲乳外科,安徽蚌埠233004

出　　处：《川北医学院学报》2023年第11期1579-1583,共5页Journal of North Sichuan Medical College

基　　金：2020年度安徽省自然科学基金(2008085QH352)。

摘　　要：目的:探讨基于自我超越理论的全程综合护理对甲状腺癌患者自护能力、心理韧性及癌因性疲乏的影响。方法:选取112例甲状腺癌患者为研究对象,按照干预方式不同将患者分为对照组(n=56)与观察组(n=56)。入院当日至术后2 d(共计5 d),对照组给予常规护理;观察组在对照组的基础上给予基于自我超越理论的全程综合护理。比较两组患者干预前及出院时自护能力[自我护理能力量表(ESCA)]、心理韧性[心理弹性量表(CD-RISC)]、癌因性疲乏[癌症疲乏量表(CFS)]。采用Pearson法分析各量表评分之间的相关性。调查并比较两组患者出院后1个月居家恢复期依从性。结果:出院时,两组患者自我护理技能、自护责任感、自我概念、健康知识水平及ESCA总分均高于干预前(P<0.05),且观察组高于对照组(P<0.05)。出院时,两组患者CD-RISC量表中应对压力、控制感、坚韧性评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05)。两组患者躯体、情感、认知、CFS总分均低于干预前(P<0.05),且观察组低于对照组(P<0.05)。出院后1个月,观察组中按时服药、生活与饮食、安全防护、并发症预防、定期复查患者占比均高于对照组(P<0.05)。经Pearson相关性分析,干预后患者ESCA总分与CD-RISC总分正相关(r=0.538,P<0.05);与CFS总分负相关(r=-0.508,P<0.05),CD-RISC总分与CFS总分负相关(r=-0.406,P<0.05)。结论:基于自我超越理论的全程综合护理有利于提升甲状腺癌患者的自护能力及心理韧性,减轻癌因性疲乏,提高患者居家恢复期依从性。Objective:To investigate the effects of comprehensive nursing based on self-transcendence theory on self-care ability,mental toughness and cancer-related fatigue in patients with thyroid cancer.Methods:A total of 112 patients were selected as the research objects,and were divided into control group(n=56)and observation group(n=56)according to the different intervention methods.From the day of admission to 2 days after surgery(a total of 5 days),the control group was given routine nursing,and the observation group was given comprehensive nursing based on self-transcendence theory.Self-care ability[Exercise of self-care agency scale(ESCA)],mental toughness[Connor-Davidson resilience scale(CD-RISC)]and cancer-induced fatigue[Cancer-related fatigue scale(CFS)]were compared between the two groups before intervention and at discharge.The Pearson method was used to analyze the correlation between the scores of various scales.1 month after discharge,the compliance of the two groups was investigated and compared during the home recovery period.Results:At discharge,the self-care skills,self-care responsibility,self-concept,health knowledge level and ESCA score of patients in both groups were higher than before intervention(P<0.05),and the observation group was higher than the control group(P<0.05).At discharge,the scores of coping stress,sense of control and fortitude in CD-RISC were higher in both groups than before intervention(P<0.05),and those in observation group were higher than those in control group(P<0.05).At discharge,the total scores of body,emotion,cognition and CFS in both groups were lower than before intervention(P<0.05),and the observation group was lower than the control group(P<0.05).1 month after discharge,the proportion of patients in observation group taking medicine on time,living and diet,safety protection,complication prevention and regular review were higher than those in control group(P<0.05).Pearson analysis showed that there was a positive correlation between the total score of ESCA and the tota

关 键 词：自我超越 全程综合护理 甲状腺癌 自护能力 心理韧性 癌因性疲乏 

分 类 号：R736.1[医药卫生—肿瘤]